| NPI | 1124465091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR MAVASHEV Owner 212-666-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-05-31 |